Scope Procedure With Widening the Duct Opening

Vermont rates for HCPCS 43262

A flexible scope is passed through the mouth to the point where the bile and pancreas ducts drain into the small intestine, and the muscular valve at that opening is cut to widen it. Widening the opening lets trapped stones pass, relieves blockage and gives access for further work inside the ducts. It is done under sedation, with no cut in the abdomen.

Rates data updated July 2026.

How much rates vary

Facilitymedian $4,074 · 10th to 90th $4,074 to $4,467

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
BCBS Setting Facility Modifier Global Typical Low $4,073.80 Median $4,073.80 Typical High $4,466.84	Facility	Global	$4,073.80	$4,073.80	$4,466.84